The Fine Motor Dexterity Under Dual Task in Parkinson's Disease

Browse trials for

• Parkinson Disease 4,487

Keywords

• hand function, dual task, Parkinson disease, activities of daily living

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,081 are open to participants now.

This study's planned enrollment of 53 is below the median of 96 across 1,056 observational studies indexed under Parkinson Disease.

Lead sponsor

T.C. ORDU ÜNİVERSİTESİ is the lead sponsor of 87 studies on the registry; 12 are open to participants now.

Study population

Groups and cohorts

• Study Group

  patients with parkinson disease

  Diagnostic Test: Fine motor dexterity test, nine hole peg test

Interventions

• Diagnostic testFine motor dexterity test, nine hole peg test

  The nine hole peg test will be performed under two different task (1)single task, (2)adding a cognitive task

Primary outcomes

1. Nine hole peg test

   The Nine-Hole Peg Test is used to measure finger dexterity in patients with various neurological diagnoses. The patient must pick up the pegs from the holes and replace them back as fast as possible. The Nine Hole Peg Test should be conducted with the dominant arm first, then nondominant hand. The time will be recorded in second to complete the test. The test will be performed under three task; 1. single task: Only nine-hole peg test 2. adding a cognitive task: Nine-hole peg test will be performed with a concurrent cognitive task. The cognitive task is a serial 7 subtraction from numbers changed between 290 and 310 during the performing nine-hole peg test. The time will be recorded.

   Time frame: 5 minutes

2. ADL-related dexterity Questionnaire 24 (DextQ-24)

   Dexterity-related ADL difficulties were measured by the ADL-related dexterity Questionnaire 24 (DextQ-24), including 24 question dealing with bimanual and unimanual activities, which is a reliable and valid disease specific questionnaire to evaluate dexterity in patients with PD. Each question is scored between 1 (no problems) and 4 (need aid to perform task) by the patient's experience. Total score ranged from 24 points to 96 points.

   Time frame: 10 minutes

Secondary outcomes

1. Modified Hoehn and Yahr Scale

   Disease progression will be assessed with modified Hoehn and Yahr Scale. The original scale included stages 1 through 5. Since then, stage 0 has been added, and stages 1.5 and 2.5 have been proposed. This modified scale allocates stages from 0 to 5 to indicate the relative level of disability. Stage 0: No signs of disease. Stage 1: Unilateral symptoms only. Stage 1.5: Unilateral and axial involvement. Stage 2: Bilateral symptoms. No impairment of balance. Stage 2.5: Mild bilateral disease with recovery on pull test. Stage 3: Balance impairment. Mild to moderate disease. Physically independent. Stage 4: Severe disability, but still able to walk or stand unassisted. Stage 5: Needing a wheelchair or bedridden unless assisted.

   Time frame: 2 minutes

2. Unified Parkinson's Disease Rating Scale (UPDRS) - Section of Activities of Daily Living (ADL)

   The UPDRS- ADL section evaluates the impact of Parkinson disease on ADL according to patient's perspective. The ADL section consists of 13 items for gathering information on the patient's own perception of functional impairment due to PD. Each item scores between 0-4. 0 means normal and 4 means severe impairment. The total score change between 0-52. High scores indicate severe impairment.

   Time frame: 10 minutes

3. Unified Parkinson's Disease Rating Scale (UPDRS) - Motor Section

   Motor section of UPDRS determines the impairment due to the Parkinson's disease. Rigidity, bradykinesia and tremor items which are relating with upper extremity function will be assessed. Each item scores between 0-4. 0 means normal and 4 means severe impairment. The total scores of rigidity, bradykinesia, and tremor, respectively range between 0-8, 0-24 and 0-16.

   Time frame: 10 minutes